Pilonidal Sinus in the Cheek: A Report of a Rare Case

Pilonidal sinus (PNS) is a common inflammatory condition that predominantly affects males. It typically occurs beneath the skin of the sacrococcygeal region. We present a rare case of a 40-year-old patient with a painless, suppurating swelling on the cheek for two days, accompanied by itching. Under local anesthesia, incision and drainage were performed, as the patient declined excision. Medical advice was provided, and the patient was encouraged to follow up. The cheek is an extremely rare location for a PNS. Diagnosis can be challenging due to its unusual presentation. However, special care should be taken during surgical excision, as preserving the cosmetic appearance is a priority.